Gerard W Medicis, MSW, LCSW | |
15 Vann Ave, Evansville, IN 47714-1444 | |
(812) 402-8333 | |
(812) 402-8331 |
Full Name | Gerard W Medicis |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 27 Years |
Location | 15 Vann Ave, Evansville, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790809283 | NPI | - | NPPES |
100240880 | Medicaid | IN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34004187A (Indiana) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Within Sight | 3476772633 | 8 |
Entity Name | Southwestern Behavioral Healthcare, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033108766 PECOS PAC ID: 7315842309 Enrollment ID: O20031203000451 |
Entity Name | Within Sight |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215271382 PECOS PAC ID: 3476772633 Enrollment ID: O20140919002068 |
Mailing Address | Practice Location Address |
---|---|
Gerard W Medicis, MSW, LCSW Po Box 33, Evansville, IN 47701-0033 Ph: (812) 402-8333 | Gerard W Medicis, MSW, LCSW 15 Vann Ave, Evansville, IN 47714-1444 Ph: (812) 402-8333 |
Laura M Faulkner, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4001 John St, Evansville, IN 47714 Phone: 812-473-3144 Fax: 812-422-7558 | |
Brittany Bailey, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4001 John St, Evansville, IN 47714 Phone: 813-473-3144 | |
Madelynn R Wiethop, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7144 E Virginia St Ste C, Evansville, IN 47715 Phone: 812-479-1242 | |
Taylor Willard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7409 Eagle Crest Blvd, Evansville, IN 47715 Phone: 812-426-9779 | |
Teresa A Mercer, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7200 E Indiana St, Evansville, IN 47715 Phone: 812-476-7200 Fax: 812-471-4514 | |
Ramona L. Wilzbacher, MSW, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 60 S. Stockwell Road, Evansville, IN 47714 Phone: 812-476-5437 Fax: 812-422-7558 | |
Ashley Williams, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1133 Lincoln Ave, Evansville, IN 47714 Phone: 812-491-2615 |